Doctor Name: | JOHN WAYNE PRATHER |
NPI Number: | 1043233372 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 08877 |
Business Practice Address: | 611 Alcorn Dr Suite 230 Corinth, MS - 388349321 |
Business Phone Number: | 6622875218 |
Business Fax Number: | 6622863186 |
Mailing Address: | 611 Alcorn Dr, Suite 230 CORINTH |
State: | MS |
Postal Code: | 388349321 |
Phone Number: | 6622875218 |
Fax Number: | 6622863186 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 07/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 08877 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |